Loneliness and HIV-related stigma explain depression among older HIV-positive adults
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Advances in the treatment of HIV have resulted in a large growing population of older adults with HIV. These aging adults face added social, psychological, and physical challenges associated with the aging process. Correlations between depression, loneliness, health, and HIV/AIDS-related stigma have been studied, but there is little evaluation of these associations among HIV-positive adults over the age of 50. Data for these analyses were taken from the Research on Older Adults with HIV study of 914 New York City-based HIV-positive men and women over the age of 50. In total, 39.1% of participants exhibited symptoms of major depression (CES-D > 23). Multivariate modeling successfully explained 42% of the variance in depression which was significantly related to increased HIV-associated stigma, increased loneliness, decreased cognitive functioning, reduced levels of energy, and being younger. These data underscore the need for service providers and researchers to assert more aggressive and innovative efforts to resolve both psychosocial and physical health issues that characterize the graying of the AIDS epidemic in the USA. Data suggest that focusing efforts to reduce HIV-related stigma and loneliness may have lasting effects in reducing major depressive symptoms and improving perceived health.
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A number of studies focused on groups at higher risk of isolation and loneliness and associated negative health outcomes, including cancer survivors, unpaid carers, substance users, HIV-positive individuals, and those with a history of institutionalisation.
“Finally, a number of studies focused on groups at higher risk of isolation and loneliness and of associated negative health outcomes, including older people who are cancer survivors (Jaremka et al. 2013), unpaid carers (Jaremka et al. 2013), and substance users (Smith and Rosen 2009) who are HIV-positive (Grov et al. 2010) or who have a history of institutionalisation (Smith and Hirdes 2009).”
From Social isolation, loneliness and health in old age: a scoping review (2017) · cites this paper as Grov et al. 2010
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- Authors
- Grov, C., Golub, S. A., Parsons, J. T., Brennan, M., & Karpiak, S. E.
- Affiliations
- City University of New York (US)
- The Graduate Center, CUNY (US)
- e AIDS Community Research Initiative of America (ACRIA) , New York , NY , USA
- Corresponding author
- Grov, Christian
- Venue
- AIDS Care
- Publisher
- Informa UK Limited
- Published
- 2010-04-16
- Volume
- 22
- Issue
- 5
- Pages
- 630-639
- ISSN
- 0954-0121 (ISSN-L)
- 1360-0451
- PMC
- PMC2936670
- OpenAlex
- W2068901441
- Cited by
- 381
- References
- 52
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 21 · 2023: 23 · 2022: 28 · 2021: 30 · 2020: 24 · 2019: 38 · 2018: 24 · 2017: 26 · 2016: 29 · 2015: 27 · 2014: 33 · 2013: 26 · 2012: 16
- FWCI
- 12.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- AIDS Care (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5t32da007233-40)
- Centers for Disease Control and Prevention
- National Institute on Drug Abuse (T32DA007233, T32DA07233)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- HIV stigma, loneliness, depression, older adults, HIV-infected adults, aging, cognitive function, energy levels, psychosocial health
- MeSH terms
- Acquired Immunodeficiency Syndrome, Aged, Aged, 80 and over, Depression, Female, HIV Seropositivity, Humans, Loneliness, Male, Middle Aged, Social Isolation, United States, Logistic Models, Social Stigma
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